Year: 2024
Type: article
Abstract: Social determinants of health are well-established drivers of health outcomes across a range of pulmonary diseases, from asthma (1) to COPD (2) to sarcoidosis (3,4).Developing interventions to address health disparities in pulmonary disease has been complicated by the wide-reaching and varied effects of structural racism and classism (5).In this issue of Sarcoidosis, Vasculitis, and Diffuse Lung Diseases, Cherabuddi and colleagues (6) present data on the effect of a range of socio-economic factors impacting access to care in sarcoidosis.This work investigates a range of potential drivers of disparity, providing valuable information regarding potential interventional targets.Health research has historically focused on individual factors (genetics, exposures, knowledge, adherence to medication, and lifestyle recommendations).In recent years, there has been an increasing focus on understanding how social determinants of health -including racism -drive observed health outcomes.While much has been published on the impact of racism in the social sciences, the terminology can be unfamiliar to clinicians and health researchers (7).A granular understanding of the multifaceted effects of racism is especially important when interpreting large datasets.A fundamental theoretical framework of the multi-effects of racism on health outcomes was described by Dr. Camara Jones in 2000 (8).This influential work described three primary levels of racism:
Authors: Logan Harper, Daniel A Culver, Yvette C Cozier
Institutions: Cleveland Clinic, Boston University
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: diamond
Award: G3396410057
OpenAlex ID: W4400140707